Provider Demographics
NPI:1770391138
Name:HAYLIE COLBY LLC
Entity type:Organization
Organization Name:HAYLIE COLBY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAYLIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:COLBY
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:913-609-7979
Mailing Address - Street 1:10540 MARTY ST STE 220
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2656
Mailing Address - Country:US
Mailing Address - Phone:913-912-1200
Mailing Address - Fax:
Practice Address - Street 1:10540 MARTY ST STE 220
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2656
Practice Address - Country:US
Practice Address - Phone:913-912-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty